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Validity and Reliability of the Korean Version of the Expanded Nursing Stress Scale

한국어판 간호사 직무 스트레스 측정도구의 타당도와 신뢰도 분석

  • Received : 2015.10.25
  • Accepted : 2015.12.09
  • Published : 2015.12.31

Abstract

Purpose: This study was done to evaluate validity and reliability of the Korean version of the expanded nursing stress scale (ENSS). Methods: Forward-backward translation of ENSS from English to Korean was conducted. The translated instrument was pilot-tested and administrated to 285 nurses who worked in five general hospitals in Korea. Internal consistency reliability was assessed using Cronbach's ${\alpha}$ and composite reliability. Validity was evaluated through construct validity with confirmatory factor analysis, convergent and discriminant validity. Results: The Korean version of ENSS showed a reliable internal consistency with Cronbach's ${\alpha}$ .95 and composite reliability .99. Model fit indexes for 46 items were validated by confirmatory factor analysis(goodness of fit index .82, Tucker-Lewis index .92, root mean square error of approximation .04), indicating suitable construct validity. Factor loading of the 48 items (.47~.88) and average variance extracted out of nine factors (.52~.71.) indicated satisfactory convergent validity. Some values of square of the correlation coefficient between factors (.12~.89) were higher than average variance extracted values of each factor (.52~.71) so that it partly satisfied discriminant validity. Conclusion: Findings show that the Korean version ENSS has good reliability and suitable validity; therefore, can be used to assess and identify Korean nurses' job stress.

Keywords

References

  1. OECD. Society at a Glance 2009: OECD Social Indicators. Paris: OECD Publishing; 2009. p. 122-123.
  2. Abbas SG, Farah A, Apkinar-Sposito C, Measuring the immeasurable: An overview of stress and strain measuring instruments. Mediterranean Journal of Social Sciences. 2013;4(10):480-489. http://dx.doi.org/10.5901/mjss.2013.v4n10p480
  3. Sauter S, Murphy L, Colligan M, Swanson N, Hurrell J, Scharf F, et al. Stress at work. DHHS (NIOSH) Publication. Cincinnati, OH: National Institute for Occupational Safety and Health, 1999 January. Report No.: 99-101.
  4. Heo KS. A study on the relationships between job characteristics and organizational commitment of hospital organization. Korean Journal of Human Resource Management. 2005;12:21-45.
  5. Golubic R, Milosevic M, Knezevic B, Mustajbegovic J. Workrelated stress, education and work ability among hospital nurses. Journal of Advanced Nursing. 2009;65(10):2056-2066. http://dx.doi.org/doi: 10.1111/j.1365-2648.2009.05057.x
  6. Ministry of Health & Welfare. Ministry of Health & Welfare Statistical Year Book 2015. Sejong: Minister of Health and Welfare; 2015. p. 12-13.
  7. Kim JH, Jo HS. A comparative study on job stress and satisfaction between ward nurses and outpatient nurses. Korean Journal of Occupational Health Nursing. 2013;22(2):83-92. http://dx.doi.org/10.5807/kjohn.2013.22.2.83
  8. Lee MH. Analysis of studies on work stress in clinical nurses. Journal of Korean Academy of Adult Nursing. 1996;8(1):180-200.
  9. Choi SR, Jung, HS. An analysis of studies on clinical nurses' job stress: A comparative study. Korean Journal of Occupational Health Nursing. 2004;13(1):40-47.
  10. Yi YJ, Lee BI. Research trend of nurses' job stress: A comparative study. Korean Journal of Occupational Health Nursing. 2013;22(1):13-23. http://dx.doi.org/10.5807/kjohn.2013.22.1.13
  11. Lee BI. Trend analysis of nurses' stress based on last 10 years of international research. Korean Journal of Occupational Health Nursing. 2012;21(1):27-36. http://dx.doi.org/10.5807/kjohn.2012.21.1.27
  12. Kim MJ, Gu MO. The development of the stress measurement tool for staff nurses working in the hospital. KanhoHakhoe Chi. 1984;14(2):28-37.
  13. Chang SJ, Koh SB, Kang D, Kim SA, Kang MG, Lee CG, et al. Developing an occupational stress scale for Korean employees. Korean Journal of Occupational and Environmental Medicine. 2005;17(4):297-317.
  14. Cho WS, You MS. Problems and prospects of nursing research on job stress in Korea. Journal of Korean Academy of Nursing Administration. 2013;19(1):63-75. http://dx.doi.org/10.11111/jkana.2013.19.1.63
  15. French SE, Lenton R, Walters V, Eyles J. An empirical evaluation of expanded nursing stress scale. Journal of Nursing Measurement. 2000;8(2):161-178.
  16. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. Journal of Health and Social Behavior. 1983;24(4):385-396. https://doi.org/10.2307/2136404
  17. Cooper CL, Sloan SJ, Williams S. Occupational stress indicator: management guide. Windsor: NFER-Nelson; 1988.
  18. Gray-Toft P, Anderson JG. The nursing stress scale: Development of an instrument. Journal of Behavioral Assessment. 1981;3(1):11-23. https://doi.org/10.1007/BF01321348
  19. Lambert VA, Lambert CE, Itano J, Inouye J, Kim S, Kuniviktikul W, et al. Cross-cultural comparison of workplace stressors, ways of coping and demographic characteristics as predictors of physical and mental health among hospital nurses in Japan, Thailand, South Korea and the USA (Hawaii). International Journal of Nursing Studies. 2004;41:671-684. http://dx.doi.org/10.1016/j.ijnurstu.2004.02.003
  20. McGilton KS, McGillis HL, Wodchis WP, Petroz U. Supervisory support, job stress, and job satisfaction among long-term care nursing staff. Journal of Nursing Administration. 2007;37:366-372. http://dx.doi.org/10.1097/01.NNA.0000285115.60689.4b
  21. Milutinovic D, Golubovic B, Brkic N, Prokes B. Professional stress and health among critical care nurses in Serbia. Archives of Industrial Hygiene and Toxicology. 2012;63(2):171-180. http://dx.doi.org/10.2478/10004-1254-63-2012-2140
  22. Galdikiene N, Asikainen P, Balciunas S, Suominen T. Do nurses feel stressed?: A perspective from primary health care. Nursing and Health Sciences. 2014;16(3):327-334. http://dx.doi.org/10.1111/nhs.12108
  23. Principal components and factor analysis: Complete example of FA. In: Tabachnick BG, Fidell LS, editors. Using multivariate statistics. 5th ed. Boston: Pearson/Allyn & Bacon; 2007. p. 651-670.
  24. World Health Organization. Process of translation and adaptation of instruments [Internet]. Geneva: World Health Organization; 2013 [cited 2013 J une 2]. Available from: http://www.who.int/substance_abuse/research_tools/translation/en/
  25. Harrington D. Confirmatory factor analysis. Pocket guides to social work research methods. New York: Oxford University Press; 2008. p. 78-99.
  26. Hair JE, Black WC, Babin BJ, Anderson RE. Multivariate data analysis. 7th ed. New Jersey: Prentice Hall Inc. 2009. p. 51-92.
  27. Fornell C, Larcker DF. Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research. 1981;18:39-50. https://doi.org/10.2307/3151312
  28. Spreng RA, MacKenzie SB, Olshavsky RW. A reexamination of the determinants of consumer satisfaction. Journal of Marketing. 1996;60:15-32. https://doi.org/10.2307/1251839
  29. Lee YJ. An analysis of the factors affecting general hospital nurses' intention to leave the job [master's thesis]. Seoul: Hanyang University; 2003.
  30. Yau SY, Xiao XY, Lee LYK, Tsang YK, Wong SL, Wong KF. Job stress among nurses in China. Applied Nursing Research. 2012;25:60-64. https://doi.org/10.1016/j.apnr.2011.07.001

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